person
Johnnie Dominica Johnson, FNP
Adult Health Nurse Practitioner in Long Grove, Illinois
NPI 1043601057

Johnnie Dominica Johnson is an Adult Health Nurse Practitioner based in Long Grove, IL and is specialized in Adult Health. Johnnie Dominica Johnson practices in Long Grove, IL and has the professional credentials of FNP. The NPI Number for Johnnie Dominica Johnson is 1043601057 and holds a License No. 209012407 (Illinois).

The current practice location address for Johnnie Dominica Johnson is 3880 Salem Lake Dr Ste F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
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Provider Profile Details
NPI Number
1043601057
Provider Name
Johnnie Dominica Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr Ste F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
02/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277001345 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr Ste F
City
State
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
277001345 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209012407 (Illinois)
Definition
Definition to come...
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